Anna Mazzuoccolo

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0007876 Issued in CO

Practice address

9960 Sky Ridge Ave
Lone Tree, CO 80124-5644

Phone

(303) 706-1616

Fax

(303) 706-0151

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Florida International Univ, College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Integrated Ear Nose and Throat PCGroup PAC ID 7012971559, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Healthone Rose Hospital, Denver, CO, CCN 060032

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEJDBA/Endpoint/BEJDBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Ear, Nose and Throat, P.C.

  • Otolaryngology Physician
  • Lone Tree, CO
  • NPI 1063624195
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Healthone LLC

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1023062098
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1033898044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 SKY RIDGE AVE",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245644",
            "telephone_number": "303-706-1616",
            "fax_number": "303-706-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 SKY RIDGE AVE",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245644",
            "telephone_number": "303-706-1616",
            "fax_number": "303-706-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZUOCCOLO",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117110",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0007876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1447466073",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Matalas, RN
• Charles A Mateskon, MD
• Tom G Matzakos, MD
• John A Maxfield, PA-C
• Charles Mayhew Jr., DO
• Devin R McBride
• Heather Aynsley McBryde, PA
• Christopher James McCarthy
• Jordan McCarthy, PA-C
• Meredith McCarty, PT, DPT

• Physician Assistant in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.